| NPI | 1326408949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 022060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME146701) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-03-19 |